Evidence map›Paper›PMID 37083890›Full record

ReviewCurrent pain and headache reports2023

Low-Dose Initiation of Buprenorphine: A Narrative Review.

Amber N Edinoff, Omar H Fahmy, Noah J Spillers, Alexa R Zaheri, Eric D Jackson, Audrey J De Witt, Danielle M Wenger, Elyse M Cornett, Kimberly L Skidmore, Adam M Kaye and 1 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current pain and headache reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. High-dose buprenorphine inductions in hospital settings.American journal of medicine open · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Amber N EdinoffDepartment of Psychiatry, Harvard Medical School, Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA. aedinoff@mgh.harvard.edu.ORCID http://orcid.org/0000-0001-7436-6206
Omar H FahmyDepartment of Family Medicine, Louisiana State University Health Science Center at Shreveport/Monroe, Monroe, LA, 71202, USA.
Noah J SpillersSchool of Medicine, Louisiana State University Health Science Center at Shreveport, Shreveport, LA, 71103, USA.
Alexa R ZaheriSchool of Medicine, Louisiana State University Health Science Center at Shreveport, Shreveport, LA, 71103, USA.
Eric D JacksonUniversity of Arizona College of Medicine-Phoenix, Phoenix, AZ, 85004, USA.
Audrey J De WittDepartment of Anesthesiology, Louisiana State University Health Sciences Center at Shreveport, Shreveport, LA, 71103, USA.
Danielle M WengerUniversity of Arizona College of Medicine-Phoenix, Phoenix, AZ, 85004, USA.
Elyse M CornettLouisiana Addiction Research Center, Shreveport, LA, 71103, USA.
Kimberly L SkidmoreDepartment of Anesthesiology, Louisiana State University Health Sciences Center at Shreveport, Shreveport, LA, 71103, USA.
Adam M KayeThomas J. Long School of Pharmacy and Health Sciences, Department of Pharmacy Practice, University of the Pacific, Stockton, CA, 95211, USA.
Alan D KayeLouisiana Addiction Research Center, Shreveport, LA, 71103, USA.
Louisiana State University Health Sciences Center Shreveport · USUniversity of Arizona · USUniversity of the Pacific · USHarvard University · USLouisiana State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewOpioid use disorder (OUD) is a chronic disorder in which a person loses control over the use of opioids, develops a compulsive behavior, and defends the use despite knowing the negative consequences. There are numerous treatments for OUD, including buprenorphine. Since it is displacing a full agonist opioid, precipitated withdrawal can occur with standard inductions involving buprenorphine. RECENT

findingsCase reports have noted success with a low-dose initiation of buprenorphine, which is different from typical protocols, relatively limited by adverse effects when patients were recently administered full agonists. A cohort investigation studied the use of a transdermal patch as part of the protocol, which was fairly well tolerated. While ongoing research is being conducted on this topic, recent case studies and smaller cohort studies have demonstrated the feasibility of a trial to treat OUD with low-dose initiation of buprenorphine.

Indexed as

BuprenorphineOpioid-Related DisordersAnalgesics, OpioidChronic DiseaseHumansOpiate Substitution TreatmentAnalgesics, OpioidBuprenorphineAddiction treatmentBuprenorphineFentanylLose doseOpioid use disorderWithdrawal

Identifiers

PMID37083890
OpenAlexW4366603742

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.